Individual
DR. ROBERT BRYAN WYETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1634 YORK RD, COLORADO SPRINGS, CO 80918
(719) 522-0800
(719) 522-0810
Mailing address
1634 YORK RD, COLORADO SPRINGS, CO 80918
(719) 522-0800
(719) 522-0810
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10303
CO
1223G0001X
General Practice Dentistry
Primary
10303
CO
Other
Enumeration date
08/29/2008
Last updated
06/02/2015
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